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Family Registration Form

In order to find the most compatible Applicant for your family we ask you to complete this registration form.

Your Details Your Preferences What help do you want? please select UK Trained and Qualified Nanny Au Pair Au Pair Plus/Mothers Help Housekeeper/ Domestic Help Other specifed below Is your position Live In or Live Out? please select Live In Live Out please select Full Time Part Time please select Full Time Part Time Languages Spoken Childern Age Gender Nursery/School/Home please select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 please select Boy Girl please select Nursery School Home please select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 please select Boy Girl please select Nursery School Home please select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 please select Boy Girl please select Nursery School Home please select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 please select Boy Girl please select Nursery School Home Is a new baby expected? please select Yes No Give details of any medical conditions/disabilities Is the Family Vegetarian? please select Yes No Family Hobbies and Interests Give details of any pets Give details of any other resident over 16 Does anyone smoke? please select Yes No

House Details Distances to (in KM) Family Reference Please provide details of a person (or a previous Au Pair) that can provide a reference for your family. Requirements Would you accept a Smoker? please select Yes No Would you accept a Vegetarian? please select Yes No Would you accept a Male Applicant? please select Yes No Do you require a Driver? please select Yes No Is a Driver Essential? please select Yes No Confirm that the Applicant can attend Language School (if applicable) please select Yes No Have you ever had an Nanny/Au Pair/ EU helper before? please select Yes No Accommodation Confirm that the Applicant will have their own room please select Yes No What facilities are in their room? Bathroom TV DVD Internet Access Radio/Cassette Desk Duties required from you Confirm the Applicant will have 2 full days off per week please select Yes No No of evenings babysitting(up to a max of 2) 0 1 2 Washing and Ironing Cooking, Sole Charge Cooking Sssistance Driving General Tidying Gardening Care of Pets Please provide as much Information Relevant to your need to enable us to help you find the right applicant for you. View our Terms and Conditions of Business. Click Here By checking this tick box, I/we accept and agree to abide by the "Ebor Nannies Ltd Terms and Conditions of Business which I/we have read and understood. I/we confirm that the information provided in our 'Application Form' is correct and accurate. I/we shall also notify Ebor Nannies Ltd immediately if there are changes to the information in our 'Application Form'.

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